Raymond D Wolf D.O. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34-00-4358-W Issued in OH

Legal business name

RAYMOND D WOLF D.O. INC.

Practice address

1 Marty LN
West Alexandria, OH 45381-1165

Phone

(937) 839-4681

Fax

(937) 839-1126

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raymond D Wolf, D.O.,R.V.T.,R.P.V.I.

Title

Sole Proprietor

Phone

(937) 839-4681

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1881965028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARTY LN",
            "city": "WEST ALEXANDRIA",
            "state": "OH",
            "postal_code": "453811165",
            "telephone_number": "937-839-4681",
            "fax_number": "937-839-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARTY LN",
            "city": "WEST ALEXANDRIA",
            "state": "OH",
            "postal_code": "453811165",
            "telephone_number": "937-839-4681",
            "fax_number": "937-839-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND D WOLF D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "937-839-4681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.,R.V.T.,R.P.V.I."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34-00-4358-W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in West Alexandria, OH
• Providers in West Alexandria, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.